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CMS RVU26D · Effective 2026-10-01

28540 in Salinas

Office / nonfacility

$217.83

Base rate per service

Facility setting

$185.31

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Orthopedic treatment

About 28540: Closed treatment of tarsal bone dislocation

Report this service for closed management of a dislocated tarsal bone when the physician treats the injury without manipulating the dislocation.

This code describes closed treatment of a dislocated tarsal bone without manipulation. An orthopedist or podiatrist may manage an acute injury in an office, emergency department, or hospital by immobilizing the affected foot and directing follow-up care. The specific bone and dislocation should be documented; select a more specific code when the injury involves a separately classified joint, such as the talotarsal or tarsometatarsal joint.

Report the code when the clinician provides the definitive closed treatment and does not manipulate the dislocation. The record should identify the injury and affected bone, describe the treatment and immobilization, and support that no manipulation was performed. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 28540

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU2.14 · 36%
  • Practice expense (office) RVU3.64 · 61%
  • Malpractice RVU0.18 · 3%

50

Medicare services in 2024 · #5352 by national volume

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

28540 compared with similar codes

Office rates for Salinas, from the same CMS release.

28545

Foot dislocation

Closed, with manipulation

$380.71

28545 describes closed treatment without manipulation of a tarsometatarsal joint dislocation. Use 28540 for a tarsal bone dislocation that is not classified under that joint code.

28546

Tarsal dislocation

Percutaneous skeletal fixation

$710.25

28546 is for a tarsometatarsal joint dislocation treated closed with manipulation. 28540 is for a tarsal bone dislocation treated without manipulation.

28555

Foot dislocation repair

Open talotarsal joint

$953.46

28555 is the open-treatment counterpart for a tarsal bone dislocation; 28540 describes closed treatment without manipulation.

28570

Foot dislocation

Tarsal bone, no manipulation

$294.64

28570 applies to a talotarsal joint dislocation treated closed without manipulation. Choose based on the documented anatomic injury.

The same code, a different location

How does Salinas compare?

In Bakersfield, the office rate for 28540 is $209.75—$8.08 lower than the $217.83 rate in Salinas. Both use the same code, release and participation basis.

28540 across payment areas

Same release and payment basis · bars start at $0

  1. Salinas · This locality

    $217.83

  2. Bakersfield

    $209.75

    $8.08 lower than Salinas

  3. Chico

    $209.17

    $8.66 lower than Salinas

  4. El Centro

    $209.20

    $8.63 lower than Salinas

  5. Fresno

    $209.17

    $8.66 lower than Salinas

  6. Hanford-Corcoran

    $209.17

    $8.66 lower than Salinas

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $222.23

    $4.40 higher than Salinas

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 28540 ranges from $179.01 in Arkansas to $257.88 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 28540

    Office

    $209.17

    Facility

    $178.42

    $8.66 lower than Salinas for the office setting.

  • Merced

    California · 28540

    Office

    $209.17

    Facility

    $178.42

    $8.66 lower than Salinas for the office setting.

  • Modesto

    California · 28540

    Office

    $209.17

    Facility

    $178.42

    $8.66 lower than Salinas for the office setting.

  • Napa

    California · 28540

    Office

    $239.28

    Facility

    $202.30

    $21.45 higher than Salinas for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28540

    Office

    $220.93

    Facility

    $187.77

    $3.10 higher than Salinas for the office setting.

  • Redding

    California · 28540

    Office

    $209.17

    Facility

    $178.42

    $8.66 lower than Salinas for the office setting.

  • Rest Of California

    California · 28540

    Office

    $209.17

    Facility

    $178.42

    $8.66 lower than Salinas for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28540

    Office

    $211.14

    Facility

    $180.39

    $6.69 lower than Salinas for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28540

    Office

    $218.67

    Facility

    $186.04

    $0.84 higher than Salinas for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28540

    Office

    $222.29

    Facility

    $188.73

    $4.46 higher than Salinas for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28540

    Office

    $252.45

    Facility

    $212.89

    $34.62 higher than Salinas for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 28540

    Office

    $252.25

    Facility

    $212.69

    $34.42 higher than Salinas for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 28540

    Office

    $257.88

    Facility

    $217.42

    $40.05 higher than Salinas for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 28540

    Office

    $257.04

    Facility

    $216.59

    $39.21 higher than Salinas for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28540

    Office

    $214.39

    Facility

    $182.44

    $3.44 lower than Salinas for the office setting.

  • Santa Cruz-Watsonville

    California · 28540

    Office

    $223.92

    Facility

    $189.83

    $6.09 higher than Salinas for the office setting.

  • Santa Maria-Santa Barbara

    California · 28540

    Office

    $218.46

    Facility

    $185.75

    $0.63 higher than Salinas for the office setting.

  • Santa Rosa-Petaluma

    California · 28540

    Office

    $226.14

    Facility

    $191.69

    $8.31 higher than Salinas for the office setting.

  • Stockton

    California · 28540

    Office

    $209.17

    Facility

    $178.42

    $8.66 lower than Salinas for the office setting.

  • Vallejo

    California · 28540

    Office

    $238.98

    Facility

    $202.00

    $21.15 higher than Salinas for the office setting.

  • Visalia

    California · 28540

    Office

    $209.17

    Facility

    $178.42

    $8.66 lower than Salinas for the office setting.

  • Yuba City

    California · 28540

    Office

    $209.17

    Facility

    $178.42

    $8.66 lower than Salinas for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28540

    Office

    $225.25

    Facility

    $192.20

    $7.42 higher than Salinas for the office setting.

  • Miami

    Florida · 28540

    Office

    $213.25

    Facility

    $184.04

    $4.58 lower than Salinas for the office setting.

  • Chicago

    Illinois · 28540

    Office

    $207.96

    Facility

    $179.77

    $9.87 lower than Salinas for the office setting.

  • Manhattan

    New York · 28540

    Office

    $226.86

    Facility

    $194.26

    $9.03 higher than Salinas for the office setting.

  • Alaska*

    Alaska · 28540

    Office

    $240.01

    Facility

    $210.13

    $22.18 higher than Salinas for the office setting.

  • Alabama

    Alabama · 28540

    Office

    $181.26

    Facility

    $156.71

    $36.57 lower than Salinas for the office setting.

  • Arkansas

    Arkansas · 28540

    Office

    $179.01

    Facility

    $154.91

    $38.82 lower than Salinas for the office setting.

  • Arizona

    Arizona · 28540

    Office

    $194.43

    Facility

    $167.25

    $23.40 lower than Salinas for the office setting.

  • Colorado

    Colorado · 28540

    Office

    $206.39

    Facility

    $176.54

    $11.44 lower than Salinas for the office setting.

  • Connecticut

    Connecticut · 28540

    Office

    $211.12

    Facility

    $180.91

    $6.71 lower than Salinas for the office setting.

  • Delaware

    Delaware · 28540

    Office

    $197.36

    Facility

    $169.64

    $20.47 lower than Salinas for the office setting.

  • Fort Lauderdale

    Florida · 28540

    Office

    $205.51

    Facility

    $177.09

    $12.32 lower than Salinas for the office setting.

  • Rest Of Florida

    Florida · 28540

    Office

    $196.74

    Facility

    $169.92

    $21.09 lower than Salinas for the office setting.

  • Atlanta

    Georgia · 28540

    Office

    $202.44

    Facility

    $173.93

    $15.39 lower than Salinas for the office setting.

  • Rest Of Georgia

    Georgia · 28540

    Office

    $187.09

    Facility

    $162.07

    $30.74 lower than Salinas for the office setting.

  • Hawaii, Guam

    Hawaii · 28540

    Office

    $213.19

    Facility

    $181.29

    $4.64 lower than Salinas for the office setting.

  • Iowa

    Iowa · 28540

    Office

    $185.11

    Facility

    $159.44

    $32.72 lower than Salinas for the office setting.

  • Idaho

    Idaho · 28540

    Office

    $186.17

    Facility

    $160.36

    $31.66 lower than Salinas for the office setting.

  • East St. Louis

    Illinois · 28540

    Office

    $195.44

    Facility

    $169.63

    $22.39 lower than Salinas for the office setting.

  • Rest Of Illinois

    Illinois · 28540

    Office

    $191.88

    Facility

    $166.26

    $25.95 lower than Salinas for the office setting.

  • Suburban Chicago

    Illinois · 28540

    Office

    $207.49

    Facility

    $178.68

    $10.34 lower than Salinas for the office setting.

  • Indiana

    Indiana · 28540

    Office

    $187.10

    Facility

    $161.10

    $30.73 lower than Salinas for the office setting.

  • Kansas

    Kansas · 28540

    Office

    $184.42

    Facility

    $159.05

    $33.41 lower than Salinas for the office setting.

  • Kentucky

    Kentucky · 28540

    Office

    $185.06

    Facility

    $160.12

    $32.77 lower than Salinas for the office setting.

  • New Orleans

    Louisiana · 28540

    Office

    $192.71

    Facility

    $166.31

    $25.12 lower than Salinas for the office setting.

  • Rest Of Louisiana

    Louisiana · 28540

    Office

    $184.84

    Facility

    $160.01

    $32.99 lower than Salinas for the office setting.

  • Metropolitan Boston

    Massachusetts · 28540

    Office

    $224.93

    Facility

    $191.43

    $7.10 higher than Salinas for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28540

    Office

    $205.44

    Facility

    $175.89

    $12.39 lower than Salinas for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28540

    Office

    $210.51

    Facility

    $180.41

    $7.32 lower than Salinas for the office setting.

  • Rest Of Maryland

    Maryland · 28540

    Office

    $200.75

    Facility

    $172.36

    $17.08 lower than Salinas for the office setting.

  • Rest Of Maine

    Maine · 28540

    Office

    $187.07

    Facility

    $161.26

    $30.76 lower than Salinas for the office setting.

  • Southern Maine

    Maine · 28540

    Office

    $195.76

    Facility

    $167.95

    $22.07 lower than Salinas for the office setting.

  • Detroit

    Michigan · 28540

    Office

    $198.94

    Facility

    $171.86

    $18.89 lower than Salinas for the office setting.

  • Rest Of Michigan

    Michigan · 28540

    Office

    $189.27

    Facility

    $163.65

    $28.56 lower than Salinas for the office setting.

  • Minnesota

    Minnesota · 28540

    Office

    $198.36

    Facility

    $169.49

    $19.47 lower than Salinas for the office setting.

  • Metropolitan Kansas City

    Missouri · 28540

    Office

    $191.51

    Facility

    $165.17

    $26.32 lower than Salinas for the office setting.

  • Metropolitan St. Louis

    Missouri · 28540

    Office

    $193.25

    Facility

    $166.54

    $24.58 lower than Salinas for the office setting.

  • Rest Of Missouri

    Missouri · 28540

    Office

    $182.14

    Facility

    $157.95

    $35.69 lower than Salinas for the office setting.

  • Mississippi

    Mississippi · 28540

    Office

    $180.60

    Facility

    $156.44

    $37.23 lower than Salinas for the office setting.

  • Montana**

    Montana · 28540

    Office

    $199.06

    Facility

    $171.00

    $18.77 lower than Salinas for the office setting.

  • North Carolina

    North Carolina · 28540

    Office

    $188.75

    Facility

    $162.58

    $29.08 lower than Salinas for the office setting.

  • North Dakota**

    North Dakota · 28540

    Office

    $195.50

    Facility

    $167.44

    $22.33 lower than Salinas for the office setting.

  • Nebraska

    Nebraska · 28540

    Office

    $185.97

    Facility

    $160.07

    $31.86 lower than Salinas for the office setting.

  • New Hampshire

    New Hampshire · 28540

    Office

    $203.30

    Facility

    $174.10

    $14.53 lower than Salinas for the office setting.

  • Northern Nj

    New Jersey · 28540

    Office

    $223.43

    Facility

    $190.89

    $5.60 higher than Salinas for the office setting.

  • Rest Of New Jersey

    New Jersey · 28540

    Office

    $213.70

    Facility

    $183.06

    $4.13 lower than Salinas for the office setting.

  • New Mexico

    New Mexico · 28540

    Office

    $190.19

    Facility

    $164.46

    $27.64 lower than Salinas for the office setting.

  • Nevada**

    Nevada · 28540

    Office

    $198.19

    Facility

    $170.10

    $19.64 lower than Salinas for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28540

    Office

    $231.77

    Facility

    $198.42

    $13.94 higher than Salinas for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28540

    Office

    $215.10

    Facility

    $184.38

    $2.73 lower than Salinas for the office setting.

  • Queens

    New York · 28540

    Office

    $228.43

    Facility

    $195.27

    $10.60 higher than Salinas for the office setting.

  • Rest Of New York

    New York · 28540

    Office

    $191.20

    Facility

    $164.55

    $26.63 lower than Salinas for the office setting.

  • Ohio

    Ohio · 28540

    Office

    $188.54

    Facility

    $162.92

    $29.29 lower than Salinas for the office setting.

  • Oklahoma

    Oklahoma · 28540

    Office

    $184.72

    Facility

    $159.66

    $33.11 lower than Salinas for the office setting.

  • Portland

    Oregon · 28540

    Office

    $212.17

    Facility

    $181.00

    $5.66 lower than Salinas for the office setting.

  • Rest Of Oregon

    Oregon · 28540

    Office

    $196.80

    Facility

    $168.85

    $21.03 lower than Salinas for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28540

    Office

    $206.50

    Facility

    $177.29

    $11.33 lower than Salinas for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28540

    Office

    $188.77

    Facility

    $163.01

    $29.06 lower than Salinas for the office setting.

  • Puerto Rico

    Puerto Rico · 28540

    Office

    $200.32

    Facility

    $171.95

    $17.51 lower than Salinas for the office setting.

  • Rhode Island

    Rhode Island · 28540

    Office

    $203.79

    Facility

    $174.81

    $14.04 lower than Salinas for the office setting.

  • South Carolina

    South Carolina · 28540

    Office

    $188.93

    Facility

    $163.00

    $28.90 lower than Salinas for the office setting.

  • South Dakota**

    South Dakota · 28540

    Office

    $195.08

    Facility

    $167.02

    $22.75 lower than Salinas for the office setting.

  • Tennessee

    Tennessee · 28540

    Office

    $185.22

    Facility

    $159.72

    $32.61 lower than Salinas for the office setting.

  • Austin

    Texas · 28540

    Office

    $205.58

    Facility

    $175.89

    $12.25 lower than Salinas for the office setting.

  • Beaumont

    Texas · 28540

    Office

    $187.70

    Facility

    $162.17

    $30.13 lower than Salinas for the office setting.

  • Brazoria

    Texas · 28540

    Office

    $197.22

    Facility

    $169.42

    $20.61 lower than Salinas for the office setting.

  • Dallas

    Texas · 28540

    Office

    $198.37

    Facility

    $170.43

    $19.46 lower than Salinas for the office setting.

  • Fort Worth

    Texas · 28540

    Office

    $197.23

    Facility

    $169.57

    $20.60 lower than Salinas for the office setting.

  • Galveston

    Texas · 28540

    Office

    $197.76

    Facility

    $169.90

    $20.07 lower than Salinas for the office setting.

  • Houston

    Texas · 28540

    Office

    $201.05

    Facility

    $173.19

    $16.78 lower than Salinas for the office setting.

  • Rest Of Texas

    Texas · 28540

    Office

    $192.29

    Facility

    $165.66

    $25.54 lower than Salinas for the office setting.

  • Utah

    Utah · 28540

    Office

    $191.16

    Facility

    $164.79

    $26.67 lower than Salinas for the office setting.

  • Virginia

    Virginia · 28540

    Office

    $195.23

    Facility

    $167.66

    $22.60 lower than Salinas for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28540

    Office

    $200.32

    Facility

    $171.95

    $17.51 lower than Salinas for the office setting.

  • Vermont

    Vermont · 28540

    Office

    $194.88

    Facility

    $167.11

    $22.95 lower than Salinas for the office setting.

  • Rest Of Washington

    Washington · 28540

    Office

    $205.01

    Facility

    $175.46

    $12.82 lower than Salinas for the office setting.

  • Seattle (King Cnty)

    Washington · 28540

    Office

    $229.14

    Facility

    $194.72

    $11.31 higher than Salinas for the office setting.

  • Wisconsin

    Wisconsin · 28540

    Office

    $189.80

    Facility

    $162.92

    $28.03 lower than Salinas for the office setting.

  • West Virginia

    West Virginia · 28540

    Office

    $185.73

    Facility

    $161.35

    $32.10 lower than Salinas for the office setting.

  • Wyoming**

    Wyoming · 28540

    Office

    $197.51

    Facility

    $169.45

    $20.32 lower than Salinas for the office setting.

See how rates vary across the country

28540 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$179.01

$240.01

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$240.011
AL$181.261
AR$179.011
AZ$194.431
CA$209.17–$257.8829
CO$206.391
CT$211.121
DC$225.251
DE$197.361
FL$196.74–$213.253
GA$187.09–$202.442
GU$213.191
HI$213.191
IA$185.111
ID$186.171
IL$191.88–$207.964
IN$187.101
KS$184.421
KY$185.061
LA$184.84–$192.712
MA$205.44–$224.932
MD$200.75–$225.253
ME$187.07–$195.762
MI$189.27–$198.942
MN$198.361
MO$182.14–$193.253
MS$180.601
MT$199.061
NC$188.751
ND$195.501
NE$185.971
NH$203.301
NJ$213.70–$223.432
NM$190.191
NV$198.191
NY$191.20–$231.775
OH$188.541
OK$184.721
OR$196.80–$212.172
PA$188.77–$206.502
PR$200.321
RI$203.791
SC$188.931
SD$195.081
TN$185.221
TX$187.70–$205.588
UT$191.161
VA$195.23–$225.252
VI$200.321
VT$194.881
WA$205.01–$229.142
WI$189.801
WV$185.731
WY$197.511

Explore 28540 on the national rate map →

Where does this rate apply?

Salinas is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 28540 in Salinas, the physician’s office rate is $217.83 and the facility-setting rate is $185.31: a difference of $32.52.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 28540 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$239.61

$217.83 × 110% = $239.61

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 28540 in Salinas.

PPRRVU2026_Oct_nonQPP.csv

3,225

Code
28540
Physician work
2.14
Practice expense
3.64
Malpractice
0.18

GPCI2026.csv

22

Locality
Salinas
Physician work
1.031
Practice expense
1.159
Malpractice
0.536
Office / nonfacility calculation for 28540 in Salinas
ComponentRVULocality factorAdjusted
Physician work2.14× 1.0312.2063
Practice expense3.64× 1.1594.2188
Malpractice0.18× 0.5360.0965
Total RVUs6.5216
Conversion factor× 33.4009

Office / nonfacility rate, Salinas$217.83

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 28540 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.141.031
Practice expense3.641.159
Malpractice0.180.536

(2.14 × 1.031 + 3.64 × 1.159 + 0.18 × 0.536) × $33.4009 = $217.83

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.141.031
Practice expense2.81.159
Malpractice0.180.536

(2.14 × 1.031 + 2.8 × 1.159 + 0.18 × 0.536) × $33.4009 = $185.31

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

28540 · Office / nonfacility

$217.83

Effective 2026-10-01

The base rate is $0.68 higher than on 2025-10-01, moving from $217.15 to $217.83 (0.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $217.15changed to$217.83

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.19 changed to 2.14
    • Practice expense RVU 3.74 changed to 3.64
    • Malpractice RVU 0.16 changed to 0.18
    • Work GPCI 1.035 changed to 1.031
    • Practice expense GPCI 1.165 changed to 1.159
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $217.15

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$217.83$185.31RVU26D
2026-07-01$217.83$185.31RVU26C
2026-04-01$217.83$185.31RVU26B
2026-01-01$217.83$185.31RVU26A
2025-10-01$217.15$194.17RVU25D
2025-07-01$217.15$194.17RVU25C
2025-04-01$217.15$194.17RVU25B
2025-01-01$217.15$194.17RVU25A

28540 billing questions

When should 28540 be selected instead of a talotarsal dislocation code?

Use 28540 for closed treatment of a tarsal bone dislocation without manipulation. When the documented injury is specifically a talotarsal joint dislocation, compare the codes for that joint.

Does 28540 include manipulation of the dislocation?

No. This code describes closed treatment without manipulation; documentation should support that the dislocation was not manipulated.

How does 28540 differ from open treatment?

28540 is for closed treatment without manipulation. Open treatment of a tarsal bone dislocation is represented by 28555.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral treatment reported?

When the procedure is bilateral, modifier 50 is paid at 150%.

Can an assistant surgeon be paid for this procedure?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 28540PPRRVU2026_Oct_nonQPP.csv, line 3,225 (RVU26D)
Geographic factors for SalinasGPCI2026.csv, line 22 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet